Carolan, Richard
Carolan, Richard is an sole proprietor health care provider with primary practice located at 7 4Th Street Suite 29, Petaluma CA 94952. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Carolan, Richard can be contacted via phone (707) 971-0212.Contact Information
Primary practice address
7 4Th Street Suite 29
Petaluma CA 94952
Phone: (707) 971-0212
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 14289 | California |
Behavioral Health & Social Service Providers / Family | 103TF0000X | PSY 14289 | California |
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | PSY 14289 | California |
Profile Details
NPI number | 1760637607 |
---|---|
LBN Legal business name | Carolan, Richard |
Credentials | EDD./ PSYCHOLOGIST |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 19th, 2008 |
Last updated | Nov 19th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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